Question of the Day

Should the Electoral College be abolished?

LOS ANGELES | Michael Jackson’s arms were covered with punctures, his face and neck were scarred, and he had tattooed eyebrows and lips, but he wasn’t the sickly skeleton of a man portrayed by tabloids, according to his autopsy report.

In fact, the Los Angeles County coroner’s report shows Jackson was a fairly healthy 50-year-old before he died of an overdose on June 25. His 136 pounds were in the acceptable range for a 5-foot-9 man. His heart was strong, with no sign of plaque buildup. His kidneys and most other major organs were normal.

Still, Jackson had health issues: arthritis in the lower spine and some fingers and mild plaque buildup in his leg arteries. Most serious was his lungs, which the autopsy report said were chronically inflamed and had reduced capacity that might have left him short of breath.

However, according to the document, the lung condition was not serious enough to be a direct or contributing cause of death.

“His overall health was fine,” said Dr. Zeev N. Kain, chairman of the anesthesiology department at the University of California at Irvine, who reviewed a copy of the autopsy report for Associated Press. “The results are within normal limits.”

Dr. Kain was not involved in the autopsy. The full autopsy report has not been released publicly, but AP obtained a copy.

Jackson died at his rented Los Angeles mansion after his personal physician, Dr. Conrad Murray, administered the anesthetic propofol and two other sedatives to get the chronic insomniac to sleep, court documents state. Propofol, normally a surgical anesthetic used in operating rooms, acts as a respiratory depressant and requires constant monitoring,

Dr. Murray told police he left the room to use the bathroom, and phone records show he also made calls for 47 minutes around the time Jackson encountered problems. When Dr. Murray realized Jackson was unresponsive, he began frantic efforts to revive him, but Jackson never regained consciousness and was declared dead at the University of California, Los Angeles Medical Center.

The coroner’s office announced last month that Jackson’s death was a homicide caused by “acute propofol intoxication,” with the other sedatives listed as a contributing factor. The office said the standard of care for administering propofol was not met and the recommended equipment for patient monitoring, precision dosing and resuscitation was missing.

Dr. Murray is the target of what Los Angeles police term a manslaughter investigation. The decision on criminal charges will come from the Los Angeles County District Attorney’s Office. Dr. Murray has been interviewed twice by police.

Jackson was declared dead a little more than two hours after paramedics were called.

His body was taken by helicopter to the coroner’s office, where the following morning Chief Medical Examiner Dr. Lakshmanan Sathyavagiswaran and Dr. Christopher Rogers carried out an extensive review and ordered a toxicology screening to look for drugs in his system.

Aside from propofol and the sedatives, the only substances found in his system were the local anesthetic Lidocaine, sometimes used to numb injection sites, and ephedrine, a commonly used resuscitation stimulant.

No other drugs — legal or otherwise — were detected, nor was any alcohol.

The autopsy findings cut off a potential defense for Dr. Murray — that Jackson hid serious pre-existing conditions that increased the risk of death from the drugs he willingly took.

At the time of his death, Jackson was preparing for a series of comeback concerts in London. Rehearsals were rigorous, and there were questions about whether Jackson would be physically able to hold up.

But aside from his lungs, the autopsy report did not identify any serious physical problems that might have limited Jackson’s ability to perform. It also provided details about his physical state from head to toe.

He had a ¾-inch scar behind his left ear and another apparent scar behind his right ear. He had a scar beside each of his nostrils and another, 4-inch, scar on his right shoulder. He had a pair of additional scars about 3 inches long at the base of his neck and smaller scars on his arms and wrist.

Dr. Kain said most of the scars appeared to be from plastic surgery, though others, including a scar on a knee, could have been from a medical procedure. The medical examiner found numerous punctures on both arms and on a knee and ankle. The leg punctures could have been from intravenous therapies not described in the autopsy report, Dr. Kain said.

Jackson had several tattoos, all them cosmetic, including dark tattoos in the areas of both eyebrows and under his eyes, and a pink tattoo around his lips. He was going bald at the front of his head, with his remaining hair is described as short and tightly curled.

The coroner found depigmentation of his skin around his chest, abdomen, face and arms and also found Jackson was actively producing sperm.